MIDWEST DIALYSIS CENTER INC NPI 1457384117

NPI Information

NPI: 1457384117
Provider Name: MIDWEST DIALYSIS CENTER, INC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: MIDWEST DIALYSIS CENTER-RYAN ROAD BRANCH
Address: 9420 S 22ND ST
OAK CREEK, WI
ZIP 53154
Phone: (414) 761-8080

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NPI Details

MIDWEST DIALYSIS CENTER, INC is an end-stage renal disease (esrd) treatment clinic center in Oak Creek, WI. MIDWEST DIALYSIS CENTER, INC NPI is 1457384117. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Dialysis Center-ryan Road Branch.

The provider's business location address is:

9420 S 22ND ST
OAK CREEK, WI
ZIP 53154-242
Phone: (414) 761-8080
Fax: (414) 761-8953

The provider's authorized official is David A Kurz .
The authorized official title is V.p. Operations and has the following contact phone number (414) 762-2020.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 11/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	42505900	MEDICAID	WISCONSIN
2	522528	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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